# BAYBERRY GYNECOLOGY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619143880
- **Authorized official:** KRISTI EGNER MD (OWNER)
- **Authorized official phone:** (631) 224-4200

## Contact information

- **Practice address:** 2330 UNION BLVD, ISLIP, NY 11751-3103
- **Practice address phone:** (631) 224-4200
- **Practice address fax:** (631) 224-1798
- **Mailing address:** 2330 UNION BLVD, ISLIP, NY 11751-3103
- **Mailing address phone:** (631) 224-4200
- **Mailing address fax:** (631) 224-1798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 228137 | NY | Yes |

## Other

- **Enumeration date:** 05/07/2008
- **Last updated:** 01/20/2009